Progressive Dentistry | |
2400 Massachusetts Ave 1170 Beacon St Cambridge MA 02140 | |
(617) 576-6566 | |
(617) 576-3005 |
Full Name | Progressive Dentistry |
---|---|
Speciality | Dentist |
Location | 2400 Massachusetts Ave, Cambridge, Massachusetts |
Authorized Official Name and Position | Sandhya Goli (OFFICE OWNER GENERAL DENTIST) |
Authorized Official Contact | 6175766566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Progressive Dentistry 2400 Massachusetts Ave 1170 Beacon St Suite 110 Brookline Ma 02446 Cambridge MA 02140-1854 Ph: (617) 576-6566 | Progressive Dentistry 2400 Massachusetts Ave 1170 Beacon St Cambridge MA 02140 Ph: (617) 576-6566 |
NPI Number | 1154536621 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 08/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154536621 | NPI | - | NPPES |
1871501007 | Other | MA | DR GOLI |
1396869582 | Other | MA | DR. GOHAR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 19257 (Massachusetts) | Primary |
122300000X | Dentist | 21256 (Massachusetts) | Secondary |
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